Add your question next to the corresponding tile by Muhammad zamar Khan

2024-10-07 19:24:11 UTC

If the agent misrepresents themselves as Medicare representative, will it be a red flag on misrep or on introduction. ?

2024-10-07 19:31:19 UTC

Regarding the Milliman, what we will be doing if the whole enrollment is done by the POA? are we supposed to add the beneficiary on the call specifically for Milliman lookup or we can go with the POA in such scenarios?

2024-10-07 19:37:25 UTC

If customer is unable to take care of his own healthcare decision or disabled what would be the next step to access the RX look up in regards to Milliman ?

2024-10-07 19:39:53 UTC

Will agent be marked autofail for stating any benefits consumer is eligible for "Free"? Will we have to mark agents for using the word "Plan" since it is discouraged to a degree?

2024-10-07 20:42:05 UTC

As per the TPMO with go health we will be mentioning the number of plans we offer, what if the agent reads the TPMO first and mention the number of plans we offer and reads the SOA later, would that be a deductions of SOA? as it was considered plan offering as per previous guidelines?

2024-10-07 21:29:39 UTC

What if LA inserts wrong effective date for new plan during reading pre enrollment disclaimers, then on which field we will be giving deduction?

2024-10-08 14:09:22 UTC

If the agent has all the information from the consumer about PCP, specialists and hospital, but in the middle of no where the consumer states that He/She has recently got upper dentures, now if the agent did not ask about the dentist to whom the consumer gone to for dentures, would it be deduction.

how to handle a situation where consumer is unable to remember the names of any doctors or specialists, but the consumer is actively going to them.

2024-10-08 14:19:09 UTC

if POA is enrolling on behalf of consumer, are we still allowed to access Milliman for Rx verification ?

2024-10-08 14:25:18 UTC

It was mentioned that the agents are not advised to use the word "Upgrade/Upgrading your plan". Why is it so ? since we will be technically upgrading their plan.

2024-10-08 15:27:55 UTC

If agent gives a peek into a specific benefit before reading the SOA disclaimer, would there be a deduction on SOA?

2024-10-08 21:13:43 UTC

Which carriers are in included in EC and EX according to the most recent information?

2024-10-09 13:47:47 UTC

Will we be evaluating Aetna legacy enrollments for the foreseeable future?

2024-10-09 15:12:18 UTC

Failure to read the disclaimer before using Milliman is a red flag ?

2024-10-10 17:53:20 UTC

Do LA needs to state the Medicaid level in the recording, such as FBDE, QMB+, or SLMB+?. If the agent states that the consumer has a full level of Medicaid. How are we going to deal with this scenario?

As per SOB, there are specific Medicaid full levels (i.e., FBDE, QMB). And what if the consumer has SLMB+ or QMB+?

Are we going to give benefit of the doubt or straight away deduction for not stating the level and comparing with SOB?

2024-10-14 14:02:40 UTC

How can we know which of our agent have completed their TFL training so we do not give red flag fail to the wrong agents?

2024-10-14 14:06:54 UTC

If the prospects' main concern is not the MOOP of a plan but the agent stated that the prospect has a MOOP out of the network for a HMP plan, will this be a read flag fail?

2024-10-14 16:10:45 UTC

Is there be any verification form to verify the information (PCP ID/Name, Consumer's name, DOB, SEP etc) mentioned by the agent during enrollment ?